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The Social History - Coggle Diagram

- - - - Home
      - Work
    - - "who would you say is your support system
      - Ask about partners, kids, friends, etc.
      - Beware of intimate partner violence
        
        Kaiser Family Foundation site
        
        Peaceful Paths in Gainesville
      - SAFE mnemonic
      - Ask about how life was growing up
    - - Stressors
      - Activities
      - Exposures
      - Insurance
      - Time off for health?
    - - Learning disabilities
      - How far did they go in school?
    - - The reliability of their report is influenced by the situation
        
        Your own comfort/anxiety about it
        
        Their anxiety/comfort talking about these
        
        How questions are phrased
      - Addressing patient's anxiety
        
        Normalizing - let them know that it's ok to feel anxious, etc. about these questions
        
        Transparency - Let them know why you are asking
        
        Ask permission
      - Example: I ask all of my patients about this because it affects their overall health. Can I ask you...
      - **Start with closed ended questions because that way they aren't putting themselves in an awkward situation
      - Ask for facts, not judgements
      - Substance use questions
        
        Have you ever used?
        
        Quantify use
        
        Dependency screening
      - Heavy drinking
        
        4 or more a day or 8/week for women
        
        5/day for men or >15/week
        
        Use the CAGE questions (also can use for recreational drug use and tobacco
        
        Have you felt you should Cut down on drinking?
        
        Have people Annoyed you by criticizing you drinking?
        
        Have you ever felt bad or Guilty about your drinking?
        
        Have you ever had a drink in the morning (Eye opener) to steady your nerves or get over a hangover?
      - Smoking: Packs per day * years smoked = pack years
    - - Be curious, not judgmental
      - Categories
        
        Exercise/physical activity
        
        Nutrition
        
        Fun, relax
        
        Stress
    - - You can ask about religion/spirituality (Important)
  - - - greet by name and ask about method of address
      - Introduce self and purpose